Individual
AISHWARYA PERUMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 SPICEWOOD LN, SAN RAMON, CA 94582-1302
(925) 699-9807
Mailing address
3212 SPICEWOOD LN, SAN RAMON, CA 94582-1302
(925) 699-9807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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